Blue Cross Arkansas

[mobroke 2]

Hello! I’m very new to this site and just beginning my journey. I am attending a bariatric surgery seminar next Monday to learn about my options for WLS & meet the surgeons.
I have insurance through BCBS Arkansas, through work.
Our outline of coverage says, “Services your plan generally does not cover,” and lists a bunch of services including bariatric surgery.
Has anyone had ABCBS and appealed after a denial? I’m thinking that would be my best move, or wait 2 years until we switch insurance plans and hope that it’s covered under the new one.
I’ve heard great things about BCBS, and even read a statement by them that says they believe bariatric surgery is vital to a long healthy life, etc. Yet, it’s not covered in my particular plan.
I cannot even see a doctor or surgeon,(outside of the seminar next week) until I have approval from my insurance.
Thank you in advance.

[mobroke 2]

And I’m also considering gastric sleeve! So sorry if this was posted to the wrong spot, still new here😭

[KCgirl061 1,529]

Unfortunately if the policy that your job provides you doesn't include WLS then no amount of appeals will get that policy to cover it. Reach out to the Human Resources department to get a more specific answer than "generally doesn't cover" and if they don't, request that they consider including it next year when policies are renewed.

[Briswife15 889]

I agree with KCgirl. Your employer has chosen not to include Bariatric surgery as part of what they purchade insurance coverage for. Definitely reach out to HR. An appeal won't work. Sorry. Hope you eventually get it covered and get your surgery !

Sent from my SM-N960U using BariatricPal mobile app

[mobroke 2]

Thank you both! I thought that would be the case. i received my packet of paperwork for my seminar yesterday after work, and there was a form included with questions to ask an insurance representative. He informed me that per my policy bariatric surgery is covered!😁 I’m super nervous and excited for this journey!

[mobroke 2]

Not sure why I’m getting two different stories, but he said it was covered so I’m running with it!

[Briswife15 889]

That's great! Ask for something in writing, like the specific coverage so you're not surprised later!

Sent from my SM-N960U using BariatricPal mobile app

[mobroke 2]

Yes! The rep gave me websites with information and our plans outlines as far as coverage and requirements! 🙌🏻

[Briswife15 889]

Awesome news!!!

Sent from my SM-N960U using BariatricPal mobile app

[Frustr8 7,886]

I c was on BCBS Arkansas when I worked at Wal-Mart, lo these many moons ago.

[mobroke 2]

I read that most BCBS plans cover WLS, but in our policy outline for some reason it said that it didn’t cover it.
But I called customer service today, and the rep answered all the questions on my sheet, and assured me that it was covered.